If a skin bridge is clearly observed at the introitus, or if the introitus has been overly narrowed by perineorrhaphy
but the remainder of the vagina has adequate length and caliber, surgical resection of the skin bridge might relieve symptoms of difficult penetration.
Unfortunately, long-term consequences of surgical interventions (sphincteroplasty, perineorrhaphy
, and transposition of muscle flaps) are unsatisfactory.
is commonly performed at the time of these repairs, using sutures to reconstruct the perineal body.
Relieving perineal pain after perineorrhaphy
by diclofenac rectal suppositories: a randomized double blinded placebo controlled trial.
Exposure was significantly higher in patients who received posterior vaginal wall colporrhaphy, perineorrhaphy
, and vaginal tape.
Some surgical procedures such as posterior colpoperineorrhaphy, colpoperineoplasty, or perineorrhaphy
can be useful to solve this problem 6].
A reapproximation of the perineal body (perineorrhaphy
) addresses a perineal weakness, while a plication of the rectovaginal fascia (posterior colporrhaphy) repairs a rectocele.
In January 2009, at the American Academy of Cosmetic Surgeons' meeting, I presented my first 4 1/2 years of data on sexual function problems related to anatomy and their treatment with the YAG (yttrium aluminium garnet) laser, instead of electrocautery, for posterior colporrhaphy and perineorrhaphy
. Most significant is the fact that of the 520 women who presented with decreased sensation with intercourse, 100% had identifiable rectoceles on physical exam.
Kovavisarach E, Jaravechson S 1998 Comparison of perforation between single and double gloving in perineorrhaphy
after vaginal delivery Australian and New Zealand Journal of Obstetrics and Gynaecology 38 (1) 58-60
[sup],,, Concomitant total vaginal hysterectomy, midurethral sling, and perineorrhaphy
were performed as necessary.
* levator plication and perineorrhaphy
, as essential concluding steps in these procedures.
Fenner provided her insight on the technique of posterior colporrhaphy and perineorrhaphy
, that is, transvaginal rectocele repair, in the last installment of OB.